使用双气囊小肠镜成功取出空肠内的胆管支架
Successful Removal of a Biliary Stent in the Jejunum Using Double-Balloon Enteroscopy.
作者信息
Dooghaie Moghadam Arash, Razavi-Khorasani Niloofar, Eslami Pegah, Saeedi Sandra, Farokhi Ermia, Moazzami Bobak, Mehrvar Azim, Iravani Shahrokh, Hashemi Mahmood Reza, Dooghaei Moghadam Masoud
机构信息
Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran, Iran.
出版信息
Galen Med J. 2020 Dec 18;9:e1809. doi: 10.31661/gmj.v9i0.1809. eCollection 2020.
BACKGROUND
Plastic biliary stent placement has been widely used as a safe approach for the management of hilar neoplasms or the dilation of benign biliary obstruction. Despite the complexity of this procedure, this approach is followed by a few complications. The incidence rate of stent migration is about 10%. In a majority of cases, the migrated stents are retained within the gastrointestinal tract and pass through the intestine with no complication or need for medical intervention.
CASE REPORT
In this paper, we described the case of the migrated biliary stent with prolonged abdominal pain, which was removed successfully by using double-balloon.
CONCLUSION
In the case of patient with prolonged abdominal pain and previous history of biliary stent placement, migration of stent should be considered as differential diagnosis and Double-Balloon Enteroscopy can be a safe approach in those cases.
背景
塑料胆道支架置入术已被广泛用作治疗肝门部肿瘤或良性胆道梗阻扩张的安全方法。尽管该手术复杂，但这种方法会伴随一些并发症。支架移位的发生率约为10%。在大多数情况下，移位的支架会保留在胃肠道内，并随粪便排出而无并发症或无需医疗干预。
病例报告
本文描述了一例因胆道支架移位导致长期腹痛的病例，该支架通过双气囊成功取出。
结论
对于有长期腹痛且有胆道支架置入史的患者，应考虑支架移位作为鉴别诊断，双气囊小肠镜检查在这些病例中可能是一种安全的方法。
Zotero 插件